Active NPI
Hakeem T Komolafe, PHARMACIST
- Pharmacist
- Takoma Park, MD
National Provider Identifier
1417405705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 24466
- Practice address
- 1329 University Blvd E
Takoma Park, MD 20912-7445 - Phone
- (301) 445-8159
- NPI assigned
- Sep 14, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 24466 | MD | Primary |
Addresses
Primary practice location
1329 University Blvd E
Takoma Park, MD 20912-7445
Mailing address
19704 Vaughn Landing Dr
Germantown, MD 20874-4672
Phone (240) 876-2306
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24466 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473811200000",
"number": "1417405705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19704 VAUGHN LANDING DR",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208744672",
"telephone_number": "240-876-2306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1329 UNIVERSITY BLVD E",
"city": "TAKOMA PARK",
"state": "MD",
"postal_code": "209127445",
"telephone_number": "301-445-8159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOMOLAFE",
"first_name": "HAKEEM",
"middle_name": "T",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-09-14",
"last_updated": "2016-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "24466",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Takoma Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.